This presentation will review some pediatric skin changes that you might see that are actually normal for the pediatric patient. These would include Mongolian spots, which is a hyper pigmented area. Harlequin color changes, which can be varying color pigmentation. Erythema toxicum is an eurythmic area of the body. Acrocyanosis, which is a bluish tinge the feet and hands in an infant. Physiological jaundice, it happens on the third or fourth day after birth. Cutis marmorata, carotenemia, which is an orange color skin change that happens when the children are introduced to orange vegetables, like carrots, when they become eight or nine months. Stork bite is a red streak that you'll see on sometimes the back of the scalp in the occipital area and on the forehead that looks like a stork was carrying the baby.
This usually is more evident when they become a little bit more angry or cry and this will self-resolve and go away. Lanugo is the downy fur, hair that you might see on a premature baby. Milia is little pimples that you will see on the face of a newborn. Malaria rubra is a reddish tinge to the face and the hemangioma is like a black and blue that you might see as a result that usually will go away, could be a small little raised eurythmic to purplish color skin change that you might see. That usually goes away within one or two years. Here is a picture of Mongolian spot. In the upper left corner, you can see the baby right between the two eyes, it's a little bit red eurythmic area that is a stork bite. Then the lower right corner here, this is a premature baby with lots of downy fur, lanugo that you would see.